Assassination Records Review Board
Final Determination Notification

AGENCY : HSCA
RECORD NUMBER : 180-10068-10337_
RECORD SERIES : STAFF PAYROLL RECORDS

AGENCY FILE NUMBER : .

December 8, 1995
Status of Document: Postponed in Part

Number of releases of previously postponed information: 8

Reason for Board Action: The Review Board's decision was premised on several factors
including: (a) the significant historical interest in the document in question; (b) the
absence of evidence that the release of the information would cause harm to the United
States or to any. individual. |

Number of Postponements: 6

Postponements: All the postponements in this document represent Social Security numbers.

Reason for Board Action: The text is redacted because the public disclosure of the redaction could
reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of
privacy would be so substantial that it outweighs the public interest.

Substitute Language: SSN

Date of Next Review: 2017

Board Review Completed: 10/24/95

| (NW 88326
 Docld:32243303 Page 1 -


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<b
MA
i)

| os 7 Date: 08/20/93
oo . . ‘Page:1
JFK ASSASSINATION SYSTEM a :

IDENTIFICATION FORM

| - AGENCY INFORMATION |
| AGENCY : HSCA |
RECORD NUMBER : 180-10068- 10337

- RECORDS SERIES :
STAFF PAYROLL RECORDS.

AGENCY FILE NUMBER ae

“ORIGINATOR :
FROM ;
TO:

TITLE :_

DATE
PAGES

12/14/78
15

- SUBJECTS
HSCA, ADMINISTRATION
DOYLE, KEVIN SEAN

| DOCUMENT TYPE’: PRINTED FORM

CLASSIFICATION : U

RESTRICTIONS. : 3.

CURRENT STATUS : P_
DATE OF LAST REVIEW :

07/07/93

OPENING CRITERIA :.

_ COMMENTS

Box #:1.:

{R) - ITEM Is RESTRICTED

| 'NW 88326
Decid:322743303 Page? .

Seager maple SR tM

5 oFFICe OF THE CLERK
U.S. HOUSE OF REPRESENTATIVES ©
_.s.- PERSONAL LEAVE RECORD

AGAR

* YEAR

. a Lt Name of Employee ~ - ws
: os rn . BALANCE BROUGHT —
; we . FORWARD FROM .*
".sPRECEDING YEAR =.

Address

Adgress

oo

“ANNUAL LEAVE.”
_» CATEGORY.

ie 1.0 a

_ DATE OF APPOINTMENT | -

1B 1H 2E

—“Fitane Humber

(Se entrees even nec tieren ante tat

Pétion Title 7 irene ee er i
een ee 4 — [prion rederat service | 2 25° Coe a ee :
[cea nEn enn n rE ot een ga wo Pie lee ‘ategeoes - - “20 ve o ; Sen ACCRUED "AVAILABLE. > ¥sep BALANCE, . ‘ey t
“Position Number.) Ravel ce ~ ont So Rec) PTHIS MONTH: f cTHIS MONTH 2° {THIS MONTH |. AT CLOSE. - ¥2 a
. . . si : : fe a . ; poe - ute . | een - . ee “ . a + ae _ in oo . z poe iH
~ “DAY OF MONTH ; =

‘Annual Sick.
Leave . | Leave’

“rf 16 i]

is [iad [15 [ie] 17] te | t9T 20 ' a2) 2a] 24] 25

= 0.5 day annual leave |

“CERTIFIED CoRRECT:© 3

‘day annual leave

“t
-_
L
:

day sick leave .. _

“Employee's Signature _ : Mate re “Chie's Signature
(If employee refuses to sign, state reason below.) — > Bot es

day sick leave. - -

aye

day administrative leave

oy

*. - . Approved: —— ; i +

day administrative leave pte ae
- ead . "Clerk of the House s>..- 2 ate

5 day unauthorized absence Pe oe 2 no _ _ ; . - . : eae ue
‘This record will be forwarded to the Clerk of the House at the end of each calendar year, or in.case of termination, along. —.
“with the request for termination. Upen approval, the record will be filed in the employee's official personnel folder. eee

0 day unauthorized absence -

“day leave without pay oe

.0 day leave without pay Lo


3 anyce ‘erasures; corrections; oF change
-on- this -form: ‘must. be. initialed. by th
~authorizing official: ye. = noe

' ae or: "ello msi SOI ae ~ Washington, D. c. 20515:

- To. the Clerk of-the House of Representatives:

“hereby, authorize the following payroll action:..' gs sce Us vee CBee AR OMS Ati ee

— Employee Name (First: -Middle- -Last) -2
Kevin Sean Doyle

ane "Employee ‘Social Security Numbe a

Og Appointment a

: a Salary ‘Adivstment

oo Standing Committee: Staff= yy “Clerical: or Ey [:-} Professional: :

a 62[4 [4 Special or Select: Committee: Authority H. Resse ss cree nth Congress. since ees

3. [_] Joint Committee. ow

(If. Employee ofan Officer. of the House, complete item below} Se a ets

Position Number_. 2.) ale applicable, Level_- Stepan etis.. . Oe awe

pot taal cl. “certify: that:. this: authorization - isnot ins violation. of ,.5.. U.S.C. .3110(b),: ‘Prohibiting the’ -employment.. of :.-.
relatives.

Giguere of ‘Authorizing Official) -

LOUIS STORES |
. {Type or print name of Authorizing Official) -

Chainman

- (Title—If Member, District and State)

.Alt.appointments,and: salary adjustments. for.employee s~under..the. House’Classification:Act and: for. Committee: em:
= _-ployees, except those. ofthe Committee on.Appropriations; the Committee: ‘onthe Budget;-and:the Joint: -Committees;: must*:
be approved by the.Gommittee on. House Administration... ; ae

APPROVED:

Office of Finance use ‘only: -

Office Code

ocld:32243303 Page 4 i, —- VIG | sy

PAYROLL AUTHORIZATION -FORM..-

~ (Please: Use Typewriter..." - -U Ss HOUSE. OF: REPRESENTATIVES: _. (Any erasures, corrections, or.changes®:- 4

or Ballpoint Pen)» = Washington, D.C.20515 “ane form it be initiated by.the.

» . To the Clerk of the House. of Representatives: . =

| hereby authorize the following payroll action: «=. --
aw Employee Name (First-Middle-Last)-.. @ ccs. 2 i Effective Date... 200. |
. : : ; , |
Kevin Sean Doyle I. B/V77 | 7 |
_Employee Social Security Number. cue es Type of Action
| 877=48-6826 . [_] Appointment
___Employing Office or Committee. Gh Salary Adjustment a -
: _ Assassinations O Termination (At close of business on effective date)
(le type of action is an Appointment-or Salary. Adjustment, complete the following information.)
Position Title = . - . Gross Annual Salary. —
Clerical ASSistant | |
(If Committee: Employee, complete appropriate, item below.) | ny
1.0) Standing Committee: Staff-[] Clerical or [-] Professional. — es ee e ~
£85 Sg \
2. a Special or Select Committee: Authority = H.: Res. #89. f 2985 Congress. - ne: \
3.1 Joint Committee. - -
(If Employee of-an Officer-of the: House: complete item’below.) «=. a a a
~. Position Number
A -f certify that. this - authorization. Lis-.not -in violation: of 5. U: 8; Ce 3110(6). Prohibiting: the..employment.-of
“relatives, J
., Date_ __ humus. 2 wee ee
“ ra (Type « or print name ‘of Authorizing Official).
wv” CHATRIAN
a Se ee Title If Member, DistrictandStote)) = ststi‘“s~<S CS
All appointments, and. salary:adjustments.for employees.-under.:the: House: Classification Act ‘cand:for;Committee-em-- 2 -
oy -ployees: -except.:those. of: the Committee. on ‘Appropriations. ‘the-Gommittee -onm the- Budget, ‘and: the: Joint Committees;- must °- \
-. be approved by the Committee. on House. Administrationinnge 20 8nd 8k bry pat to a \
he \
APPROVED: Mare ton woe eee a
. Chairman, Committee: On: n House ‘Administration: : 3
| Office of Finance use onlyr-..85. 8 3
4
Office Code__- = 4
ewe A
| NW 88326 re | oe
| Docld:37743303 Page 5 a Cy! j

U.S. DEPARTMENT OF LABOR SO .
Employment Standards Administration es : ba ’ DUTY. STATUS REPORT ,
Office of Workers’ Compensation Programs ~ ne vo _ . . ae
| oe . PART A— SUPERVISOR. -_
: 1, NAME AND ADDRESS OF THE MEDICAL FACILITY OR PHYSICIAN AUTHORIZED TO PROVIDE MEDICAL SERVICES : a
| Richard Smith . wa _
| “69 7 ero4 “17° oi tee Me aa > a | | |e
vo 7 eye TEES NAME Bebe arf) - 7 3. DATE OF INJURY i 4. OCCUPATION. a 5. SOCIAL SECURITY - |."
| 2 ~23- “85. Mic cele s Mow dev yea | Clerical on NUMBER |
|} | 26 oe | 8f2A/77 | assistant. oe ae 077 48 6826

6. SescRiPTION OF INJURY = gs
‘|... -pight ankle twisted ~

PART B— PHYSICIAN. an

2 is THE EMPLOYEE ABLE TO PERFORM HIS/HER REGULAR. WORK? -
$ []no.- IF YEs, GIVE DATE ABLE TO RESUME WORK,

| “B..1S THE EMPLOYEE ABLE TO PERFORM LIGHT WORK? - “DY YES. ie NO | IF YES, DESCRIBE BRIEFLY THE |
| PHYSICAL LIMITATIONS WHICH ARE DUE TO.THE INJURY, ete
| re
{
|
9, IF THE EMPLOYEE IS FIT FOR NEITHER FULL OR LIGHT DUTY, GIVE A BRIEF REPORT AND PROGNOSIS
“10. REMARKS | —

14, “SEND A COPY. OF THIS REPORT To: ; —_ . 15, “NAME AND ADDRESS OF EMPLOYING “AGENCY, WHICH
er re rcs : AS. TO RECEIVE THE ORIGINAL, REPORT,

U.S. DEPARTMENT OF LABOR” See GES aS pe Select: Committee on Assassinations

Employment Standards Administration | House of Representatives
Office of Workers’ Compensation Programs Washington, D.C. 20515
— : : — : a - — Foam GAT
_ . . oe ee a ; Nov, 1974 - .


rt

U.S. DEPARTMENT OF LABOR

EMPLOYMENT STANDARDS ADMINISTRATION
OFFICE OF FEDERAL EMPLOYEES’ COMPENSATION

1. NAME OF INJURED EMPLOYEE (Last, first, middle)

Doyle

5. HOME MAILING ADDRESS

FEDERAL EMPLOYEE’S NOTICE OF INJURY
. OR OCCUPATIONAL DISEASE

. 2. DATE OF BIRTH 3. 4, SOCIAL SECURITY

. (Mo., day, year , A, MALE NUMBER

— i = CO FEMALE

Ev ie SEAN af a 3 S.

(Number, street, city, state, zip code)

aoe lV. Ware FIECD, Ake. VA. 22203

7. NAME AND ADDRESS OF EMPLOYING ESTABLISHME

En, ECT

(Name, number, street, city, state, zip code)
929 Geto vt

SSASS

8. PLACE "Brot ke OCCURRED (e.g., 2nd floor, building 402, Andrews Air- Force ot

Flak 3337 Hob 2

9. DATE AND HOUR OF INJURY

(Mo., day, year)

10. DATE OF THIS NOTICE

oO 11. OCCUPATION
(Mo., day, year) i
3)a¢l? 7 )

ClEAMAL

13. NATURE OF INJURY (Name part of body affected—tractured left leg, bruised right thumb, etc.)

15. 1F THIS NOTICE WAS NOT GIVEN WITHIN 48 HOURS AFTER THE INJURY, EXPLAIN REASON FOR DELAY. IF EARLIER NOTICE WAS GIVEN
VERBAL OR WRITTEN, STATE WHEN AND TO WHOM.

: 16, SIGNATURE OF INJURED EMPLOYEE
| certify that the injury described above was sustained in the per- HIS BEHALF
formance of my duties as an employee of the U.S. Government and that

it was not caused by my willful misconduct,
the injury or death of myself, or another

OR PERSON ACTING ON
intention to bring about

nor by my intoxication. |
hereby make claim for-compensation and medical treatment to which

1 may be entitled by reason of this injury

17. STATEMENT OF WITNESS: DESCRIBE WHAT YOU SAW, HEARD OR KNOW ABOUT THIS INJURY

\

18. SIGNATURE OF WITNESS

19, DATE (Mo., day. year)

| | CA-1 & 4

ay AREA CODE.
NUMBER ores

OF 7- VEEP AE

- Rev. Maye 1973
i |

- pom

ce

23. DATE REPORTING OFFICE RECEIVED
NOTICE OF INJURY (Mu., day, year)
i

CT] VERBAL
( WRITTEN

: 26. DATE AND HOUR OF INJURY
. (Mo., day, year,

3/9 £ Loe PR Joo “pay

29. HOUR REGULAR WORK ENDS

6 °°

32, DATE ANC HOUR STOPPED WORK
(Mo., day, year)
a. LIAM
oe Tc} PM

{Mo., day, year}
ANNUAL LEAVE

f

FROM To
FROM TO
FROM TO

é
f

40. DATE EMPLOYEE FIRST OBTAINED
MEDICAL CARE FOR THE INJURY

_(Mo., day, year) _
S/R, J>~

37. WAS THE EMPLOYEE IN PERFORMANCE OF DUTY AT TIME OF INJURY? é
OR A COPY OF THE EMPLOYING ESTABLISHMENT’S INVESTIGATION REPORT

38. WAS THE-INJURY CAUSED BY WILLFUL MISCONDUCT,
: {] YES NO IF YES, FURNISH DETAILED EXPLANATION
f™.

39. WAS THE INJURY CAUSED BY A THIRD PARTY? {J Yes

42; DOES YOUR KNOWLEDGE OF THE FACTS ABOUT THIS INJURY AGREE WITH THE STATEMENTS OF THE EMPLOYEE AND/OR WITNESS?
YES” QO NO IF NO, FURNISH DETAILED EXPLANATION ; ;

OFFICIAL SUPERIOR’S REPORT OF INJURY OR OCCUPATIONAL DISEASE

20. DEPARTMENT OR AGENCY . f 21. BUREAU OR OFFICE
lam ou s =

oe hee SC. om Assn ss

22, NAME AND MAILING ADDRESS OF REPORTING OFFICE (Name, number, street, city, state, zip code)

24. NAME OF SUPERVISOR IN CHARGE 25, NAME AND TITLE OF PERSON TO WHOM
WHEN INJURY OCCURRED pone FIRST. piven

af
ras

Dee ovAN Gry revs, Ire kgs

nee

Diat ETER OF ek

27, CIRCLE DAY OF WEEK WHEN 28, HOUR REGULAR WORK BEGINS
INJURY OCCURRED .

“2 OG
SM T W G) F ;

30. NUMBER HOURS WORKED PER DAY

F

33. DATE AND HOUR PAY STOPPED 34. DATE AND HOUR RETURNED TO WORK
(Mo., day. year) | seen ee eomenneni ; (Mo., day. year)
CVAM
(10 PM

35. INCLUSIVE DATES EMPLOYEE RECEIVED PAY FOR THE PERIOD HE DID NOT WORK

SICK LEAVE ; OTHER 7
FROM . TO FROM - TO
FROM To FROM TO
FROM TO : FROM . TO

36. WAS THE EMPLOYEE ENGAGED IN HIS USUAL OCCUPATION AT THE TIME THE INJURY OCCURRED?
wes [7 NO IF NO, FURNISH DETAILED EXPLANATION:

C] NO’ -IF NO, FURNISH DETAILED EXPLANATION

f

INTOXICATION OR INTENT TO BRING ABOUT INJURY TO SELF OR ANOTHER?

J NO IF YES, FURNISH NAME AND ADDRESS OF RESPONSIBLE PARTY

41, NAME AND ADDRESS OF FIRST ATTENDING PHYSICIAN

45. DATE (Mo., day. year)

mR fret fr
ad 4

CA1& 2

Rew. May, 1973

44, TITLE


20. DEPARTMENT OR AGENCY than cK

INSTRUCTIONS FOR COMPLETING FEDERAL EMPLOYEES’ NOTICE OF
INJURY OR OCCUPATIONAL DISEASE, CA-1 & 2 |

IMPORTANT: Employee and official superior should read all of the following instructions before the
page is removed.

Items 1 through 16 of this form should be completed by the injured employee or by someone
acting on his behalf, whenever an injury is sustained in the performance of duty. The term in-
jury includes occupational disease caused by the employment. The form should be given to the em-
ployee’s official superior within 48 hours following the injury. The official superior is that indi-
vidual having responsible supervision over the employee. ,

‘In instances of a recurrence of disability resulting from. an “injury previously reported on form
CA-1 & 2, the official superior should complete and submit form CA-2a.

- The official superior will complete the “Receipt of Notice of Injury” at the bottom of this page, tear
off the page, and give it to the employee. The official superior will also be responsible for obtaining

the statement of a witness (if any), Signature, and date, in items 17, 18 and | ‘19 on the front ‘of
the form.

A brief description of benefits provided by the Federal Employees’ Compensation Act is given on
the back of this page. ~

INSTRUCTIONS FOR COMPLETING OFFICIAL SUPERIOR’S
’ REPORT OF INJURY OR OCCUPATIONAL DISEASE, CA-1 &'°2 °°

The back of form CA-1 & 2 should be completed by the employee's official superior. The form should

be sent immediately to the Office of Federal Employees’ Compensation servicing the employing es-
tablishment if: .

1. The injury causes disability for the employee’s usual work beyond the shift it occurred, or

2. It appears that the injury will result in protonged treatment, permanent disability or serious
. disfigurement of the head, face or neck, or ©

3.

lt appears that the injury will result in a charge for medical or other related expense.

If none of the above occurs or appear likely to occur, the form should be filed in the employee’s
official personnel file after the.official superior completes the
gives it to the employee.

“Receipt of Notice of Injury’ and

When additional information is required to explain or clarify any point, attach supplemental. state-
ments to the form. The form should then be sent to the appropriate office of the Bureau. For fur-

ther information, see the regulations governing the administration of the Federal Employees’ Com-
pensation Act (Code of Federal Regulations Title 20 Chapter 1).

*. RECEIPT OF NOTICE OF INJURY.

THIS ACKNOWLEDGES RECEIPT OF NOTICE OF INJURY SUSTAINED BY

Rev. May, 1973

OFFICIAL SUPERIOR’S REPORT OF INJURY OR OCCUPATIONAL DISEASE

21. BUREAU OR OFFICE

ie

q


18. SIGNATURE OF WITNESS

19, DATE (Mo., day, year)

CA-1 & 2

DISABILITY BENEFITS FOR EMPLOYEES UNDER THE FEDERAL
EMPLOYEES’ COMPENSATION ACT

The Federal Employees’ Compensation Act ad-
ministered by the Office of Federal Employees’

Compensation (OFEC) provides the following .

basic disability benefits for employment related
injuries or occupational diseases:

1. Full medical care.

2. Payment of compensation for wage
loss.

3. Payment of compensation for perma-
nent impairment of certain members
or functions of the body (such as loss
or loss of use of an arm, loss of
hearing, etc.) or for serious disfig-
urement of the head, face or neck.

4. Vocational rehabilitation and ‘related
services where necessary.

Medical care must be obtained from United States
medical officers and hospitals when available and
practicable. Otherwise, from any duly qualified
private physician or hospital of the employee's
choice. Qualified physicians may be used only if

U.S. or designated medical facilities are | not t avail:

able, or if an emergency exists. ae

Compensation is paid by check sent to the em-

ployee’s home mailing address. .Compensation .

for wage loss is payable only for periods when
an employee is in a-.non-pay status. The first
three days in a non-pay status are waiting days
and no compensation is paid for these days un-

less the period of disability exceeds 21 days or -

the employee has suffered a permanent disabil-
ity. Compensation is generally paid at the rate

of 2/3 of an employee's salary if he has no:

dependents, or 3/4 of his salary if he has one
or more dependents...

\

Compensation is not paid automatically-——an em-
ployee or someone acting on his behalf must
claim it by filing OFEC form CA-4. This form
may be obtained from the employing establish-
ment or the OFEC. In practically all cases medical
reports are required before compensation may
be paid, therefore arrangements should be made

~ to have medical reports submitted to the OFEC

at the earliest possible date.

If an employee stops work as a result of an
‘employment related injury or occupational dis-
ease, he may:

1. Use sick and/or annual leave, or

2. Receive compensation from the OFEC.

Before compensation may be paid, the OFEC must
receive form CA-1 & 2; form CA-4;. and medical
evidence concerning the nature and causal re- .

lationship of the injury. Medical reports must

cover initial examination and the employee’s con-
dition at the time claim for compensation is

_ filed. In addition, if a case involves some com-

plication or conflicting, information, it»may be
necessary to obtain supplemental ‘information.

. An“employee*or someone acting: on his: behalf
’ must complete’ the front of the form CA-1 &

2 and file it within one year after the injury or
disease occurs. However, under certain circum-
stances, the OFEC may waive the one-year re-
quirement if the front of the CA-1 & 2 is com-

pleted and the form filed within five years.

If an employee is in doubt about his compensa-
tion benefits, he may write to the Office of Federal
Employees’ Compensation servicing the employ-
ing establishment. (Obtain the address of the
OFEC office from the employing establishment).

vx GPO: 1973—O0-499-070

Wi:37243303 Page 10


GPO ; 1975 O - 57-255

PAYROLL AUTHORIZATION FORM

‘(Please Use Typewriter U.S. HOUSE OF REPRESENTATIVES (Any erasures, corrections, or changes

F ’ on this form must be initialed by the
or Ballpoint Pen) Washington, D.C. 20515 authorizing official.)

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action:

To Employee Name (First-Middle-Last) Effective Date |

Kevin Sean Dayle | 1/3/77

: oo Employee Social Security Number Type of Action

‘| 077 48 6826
Employing Office or Committee

Select Comittee on Assassinations

hk] Appointment
[] Salary Adjustment —

(J Termination (At close of business on effective date}

- (IFtype of action is an Appointment or Salary Adjustment, complete the following information.)

i 7 _ Position Title Gross Annual Salary -

(If Coimmittes Employee, complete appropriate item below.)

1. Oo Standing Committee: Staff— —O Clerical or [_] Professional.
2. ays Special or - Select Committee: Authority— H. Res. 222 ____of 85th Congress.

3. ‘Og Joint Committee.

he (IF Employee of ‘an, Officer of the House, complete item below.)

- (Type or print name of Authorizing Official)

“All appointments and salary adjustments for employees under the House Classification Act and for Committee em-
% ployees, except ‘those. of the Committee on Appropriations, the Committee on the Budget, and the Joint Committees, must
>. be approved by the Committee on House Administration.

APPROVED:

Chairman, Committee on House Administration

Office of Finance use only:
Office Code

| fuses Page 1° woe Copy for Initiating Office or Committee

=
Ss
a

teipbentone

Somat phi ba Set ate

. Position Number oo If applicable, Level________. Step_______-
| “cettify” ‘that this authorization is not in violation of 5 U.S.C. 3110(b), prohibiting the employment of |
relatives. . a —
Date_2 , 19. ae eee.
(Signature of Authorizing Official)
_Henry 8, Gonzalez

a Sietearisyus ei.

ase

Seiten

apa tlse gah oi etter aR te sie ond ie gaa A dts

a

‘ Lot
ae tye i. a dneet yan
Putkee ae oshe
7
Hl

Sebi attic teeta ig

“plovecs, except thosevof: the Committee on: Appropriations; the--Committee «on the Budget, and the Joint Committees, must “0

|

oN
d
Eo a gene nt tte yee nnner tact n

PAYROLL AUTHORIZATION FORM Loe Ce =

a 2

| (Please Use Typewriter | Cu. U-S.: HOUSE: ‘OF: REPRESENTATIVES ( Co. (Any erasures, corrections; or changes:

. n this form, must be initialed, by the
oF Ballpoint Pen) mae Washington, D.C. 20515 f authorizing official. )

To the Clerk of the House of. Representatives: 2, ne

' | hereby authorizé-the following ‘payroll action:

) Appointment

C. Salary Adjustment.

siect Committes on Assassinations —

Position Title

«

(If Commie ‘i complete-appropriate item: Pelow) oe . oe ‘, _
VE] Standing Committee: Staff— “UO Clerical or {_] Professional. 5 oo ~
a 2. ©] Special or Select Committee: Authority— H. ges, 1549 f* 2422 Congress. | \
i 3. o ‘Joint Committee. _ So a ; eo, 7 : | = So |
(if Employee of an: | Officer of the House, complete item below.) | . - fo . calieed
Position Nene ——— uae. If applicable, Level... Pana -
. . .

E l 3
Dote Deceaber 15 a 1978 A ne
yo : (Signature of Authorizing Official} i : }
/ a ‘Thomas 0, Downing, Chaiqman — sO
eae a Ce (Type or printname of Authorizing Official) ~~ SSt=C~CS

7 a . Select Comaittee on Assassinations

All ‘appointments and: salary adjustments for employees .under the: House Classification: Act and ,for.Committee em-

be approved by the Committee on House Administration. Ss ot - He - 3}
ae APPROVED: oe

. Office of Finance use > only:

Office Code._ . 7 ae oo 7 _ -

\

‘Copy for Initiating Office or Committee

weet < pe ndens ements wpe needa nena cece te eee nrarnrereedneunan meena emi tenn ene men cn een ne pe enn ene ne nn th iE nt En re ena hl ee ep

88326 : eo
[d:32243303 Page 12 5, | Boe gy!

TO: All Staff Employees
PROM: ‘Budget Officer
DATE: January 3, 1977 |

ORE. Payroll Certification _

ke! the House Finance Office requires, among other things, the -
-relationship, if any, of each staff employee. to. any current |
Member of Congress ‘(those taking office January. Sy (1977).

-. the certification: ~

"Approved
. Richard. A. Sprague

Tam not related a 7

I am related by the following relationship. Z

ii:37243303 Page 13 S ; Yoon

fie, Sea. 2

OME MORAN D.UM

Starting with the January, 1977 payroll, ‘the , certification

‘The following are the relationships ‘to be. included in

father) : nephew PE oo brother-in-lew

mother= | . es mete ee Sister-indlaw oo.
son a husband > stepfather.”
~ daughter os wife - sa. stepmother.
brother 0 father-in-law - oo  stepbrother
sister - : - mother-inJaw 9. 5: stepsister) 0
uncle a sonsinelaw. half-brother.
aunt daughter-in-law 0 0 9 half-sister CPEB E
first cousin ce rr a

All staff employees — are ‘requested ~ to complete this
form and return it to the. Budget | officer, = a ee

Signature of Empl


_ )Present Address:

Date of pirth:

“Sex: >
Health:

| -Pelephone:

|). EDUCATION —

9/715 - 6/76

9/73 10/73

9/67 fini

WORK EXPERIENCE

8/78 - 10/75.

6/75, 8/75 _

1/74 = 5/74

8/73.

12/73 >

I

6/73 - 8/73.

July 23,
as Marital Status: Single
- Male ,

Excellent

_ RESUME OF
KEVIN SEAN DOYLE
224. N. Wakefield Drive
Arlington, Virginia - 22203
1955,

“Height: 612" Weight: 190 lbs.

| Office | - 225- 54624

SUNY at Buffalo

University of. Towa Writers’ Workshop) _

State University of N.Y. at Buffalo. (soy)
year leave of absence &

| ‘Nichols School (Grades 7- 12),

peg Census Bureau (city of Buffalo)

Census Taker (left because we counted all dogs)

Mayor' s ‘summer Youth Program
City of Buffalo .

Stockroom Supervisor (terminated~ seasonal job).

Bartender in bars owned ‘by Dennis Brinkworth
_ Buffalo, New York (left to travel abroad) |

“Doyle, Diebold, Bermingham, Gorman, & Brown
(Claw firm _ “left to find another job) —

Laborer, Buffalo Sewer Authority: (seasonal job).

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Kevin Sean Doyle
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“SPECIAL INTERESTS

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' RESUME OF

KEVIN SEAN DOYLE.

present Address: 924 N. Wakefield Drive © nee
ee . Arlington, Virginia 22203 00

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6/73 8/73 - "Laborer, Buffalo Sewer Authority, (seasonal Job)

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| ° RESUME
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: “SPECIAL INTERESTS

oo REFERENCES

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